1. House Supervision & Hospital Command Structure
- Direct oversight of Administrative Nursing Supervisors (House Supervisors).
- Ensures effective hospital-wide command during off-shifts.
- Standardizes escalation pathways for bed control, capacity management, and emergency response.
- Ensures compliance with Title 22 staffing ratios, EMTALA, and regulatory standards.
- Ensures operational alignment with approved Nursing Services policies and procedures.
2. Staffing Operations & Workforce Optimization
- Oversees centralized staffing operations and float pool resource allocation.
- Ensures staffing aligns with census, acuity, regulatory ratios, and budget targets.
- Monitors labor cost drivers including overtime, premium pay, and agency utilization.
- Conducts staffing productivity analysis and variance reporting.
3. Throughput & Capacity Management
- Oversees Discharge Lounge operations.
- Partners with ED, Case Management, and Hospitalists to improve length of stay and bed turnover.
- Develops corrective action plans for throughput inefficiencies.
4. Specialty Nursing Programs Oversight
- Operational management of Wound Care, Dialysis services, Line Team and others specialty nursing services.
- Ensures quality outcomes, documentation compliance, and regulatory readiness.
- Validates competency and scope-of-practice adherence.
5. Nursing Services Policies & Procedures Governance
- Oversees development, review, revision, and implementation of Nursing Services P&P.
- Ensures alignment with Title 22, CMS Conditions of Participation, and accreditation standards.
- Coordinates policy review cycles and conducts compliance audits.
- Supports survey readiness through policy operationalization.
6. Financial Stewardship
- Assists in development and management of Administrative Nursing budgets.
- Conducts productivity benchmarking and cost containment analysis.
- Participates in capital planning for centralized nursing services.
7. Regulatory & Survey Readiness
- Maintains system-level survey readiness.
- Partners with Quality and Risk on corrective action plans.
- Leads mock tracers related to staffing, supervision, and specialty services.
8. Leadership & Workforce Development
- Supervises House Supervisors, Float Pool leadership, Discharge Lounge staff, and specialty coordinators.
- Conducts performance evaluations and supports recruitment and retention.
- Promotes accountability, collaboration, and operational excellence.
9. Executive Collaboration
- Partners with Director, CNO/ACNO, COO, and Medical Staff leadership.
- Participates in hospital command during emergencies and represents Nursing Administration in operational forums.
